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General NPI Number Information
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NPI Number | 1700340254
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Entity Type | Individual
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Provider Name | KATE M HARBERT LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 4939 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60639-2505
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Country | US
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Telephone | 708-683-9725
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Fax |
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Provider Business Mailing Address
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Address Line | 4939 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60639-2505
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Country | US
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Telephone | 304-844-2124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.020915
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License Number State | IL
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